Evidence map›Paper›PMID 39482475›Full record

Observational studyJournal of general internal medicine2025

Improving Behavioral Healthcare Access Disparities by Training Providers in Disadvantaged Communities - Evidence of Strategy Effectiveness.

Ariel B Neikrug, Shreya S Cho, Ethan S Nguyen, Annamarie Stehli, Shutong Huo, Careesa Garcia, Stephanie Au, Mandana Masoumirad, Wendy Cant, Khanh-Van Le-Bucklin and 3 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ariel B NeikrugDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA. aneikrug@hs.uci.edu.ORCID 0000-0001-8119-6380
Shreya S ChoDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA.
Ethan S NguyenDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA.
Annamarie StehliDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA.
Shutong HuoProgram in Public Health, University of California Irvine, Irvine, CA, USA.
Careesa GarciaOffice of Medical Education, School of Medicine, University of California Irvine, Irvine, CA, USA.
Stephanie AuUniversity of California, Irvine, Sue & Bill Gross School of Nursing, Irvine, CA, USA.
Mandana MasoumiradProgram in Public Health, University of California Irvine, Irvine, CA, USA.
Wendy CantOffice of Medical Education, School of Medicine, University of California Irvine, Irvine, CA, USA.
Khanh-Van Le-BucklinOffice of Medical Education, School of Medicine, University of California Irvine, Irvine, CA, USA.
Jane P GagliardiPsychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Glen L XiongDepartment of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, CA, USA.
Robert M McCarronDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA.

Funding

Cedars-Sinai Medical Center CSMC-211693Office of Statewide Health Planning and Development, State of California 18-90641Office of Statewide Health Planning and Development, State of California 19-20020Office of Statewide Health Planning and Development, State of California 21-20115
6 · The paper itself

Abstract

backgroundInadequate access to behavioral health services disproportionately impacts marginalized populations who live in disadvantaged areas. To reduce this gap, programs dedicated to optimizing behavioral health education and training must focus their efforts to enroll providers who practice in these disadvantaged areas.

objectiveThe Train New Trainers (TNT) fellowship program aims to enhance behavioral health knowledge, skills, and attitudes of primary care providers (PCPs) who deliver care in disadvantaged communities. We evaluate the effectiveness of the TNT recruitment strategy and the use of scholarships for targeting and recruiting PCPs who practice in disadvantaged communities.

designObservational study.

participantsTNT fellows from 2016 to 2023. MAIN MEASURES: State/federal classifications of medically underserved counties were used to establish scholarship criteria. Area Deprivation Index (ADI) was utilized to provide criterion validity for the use of state/federal criteria in the recruitment strategy, and to evaluate the effectiveness of the program in successfully recruiting PCPs practicing in disadvantaged communities. KEY

resultsPractice location data were available for 347 fellows, 88.8% of whom received scholarships. Of the 347 practices, 300 (86.5%) primarily served communities meeting at least one state or federal criterion for medical shortage areas and/or underserved areas. According to ADI scores, 32.3% of practices served areas classified in the highest ADI (ADI decile 9 or 10), with a progressive increase in the proportion of fellows practicing in underserved areas each year; in 2023, 89.9% of practices met federal shortage criteria and 40.5% served areas with the highest deciles of ADI.

conclusionsThe TNT program strategy for recruiting PCPs from high medical need geographical areas is associated with bringing primary care psychiatry education to areas considered underserved and disadvantaged. Equipping PCPs practicing in underserved areas with enhanced knowledge and skills in behavioral medicine has the potential to significantly improve the existing access gap in disadvantaged communities.

Indexed as

Healthcare DisparitiesHealth PersonnelHealth Services AccessibilityVulnerable PopulationsFellowships and ScholarshipsFemaleHumansMaleMedically Underserved AreaPrimary Health Carebehavioral healthdisadvantagehealthcare disparityhealth professional shortage areasmental health

Identifiers

PMID39482475
PMCPMC11780064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.